Opinion on results please

[Jools1803]

I was diagnosed in September and have just had 3 month follow up with consultant - he has reduced levo from 125mg to 112.5 mg. Attached most recent bloods. Any advice very welcome.

[Clutter]

Jools1803,

TSH is suppressed and FT4 over range so you were a little overmedicated and that's why endo has reduced dose to 112.5mcg. It is a very small reduction and may not be sufficient for FT4 to drop into range. FT3 5.91 is in the upper third of range and indicates you are a good converter of T4 to T3.

Calcium is mildly below range. If you've been prescribed calcium make sure you take it 4 hours away from Levothyroxine.

Ferritin is also low. Taking iron with 1,000mg vitamin C will aid absorption and minimise constipation. Iron should also be taken 4 hours away from Levothyroxine.

The other results look fine.

[Jools1803]

Thanks a million 😊

[Jools1803]

Iron and calcium were not tested this time - results on sheet are from August- i have been taking calcium and iron- GP advised 3 months off iron then retest.

[SlowDragon Administrator]

Have you had vitamin D tested?

Low calcium can be due to low vitamin D

Low vitamin D extremely common with thyroid

[Jools1803 in reply to SlowDragon]

Yes I take calcium and vitamin D.

[SlowDragon Administrator in reply to Jools1803]

Have you had vitamin D retested since started supplementing, and how much are you taking

Extremely common for GP to just prescribe 800iu. This often is far too little